| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.57 | $25.79 | $69.33 | |
Cigna
| Professional | $14.83 | $21.11 | $31.49 | |
HMSA
| Professional | $27.41 | $31.50 | $34.70 | |
Kaiser Permanente
| Professional | $24.85 | $27.71 | $33.89 | |
United
| Professional | $21.51 | $27.21 | $32.27 | |
University Health Alliance
| Professional | $18.42 | $22.36 | $30.52 |